Organization Name: | MONTROSE FOOT CENTER, INC. |
NPI Number: | 1104014240 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL A FELTMAN (PRESIDENT) |
Mailing Address: | 3610 W Market St Fairlawn |
State: | OH US |
Postal Code: | 443339301 |
Phone Number: | 3306667256 |
Fax Number: | 3306667256 |
NPI Enumeration Date: | 10/12/2007 |
NPI Last Update Date: | 10/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 36002777 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |